Shantel Tanae Glick, PA-C
NPI 1841342631ActiveIndividual· Physician Assistant· Peoria, AZ
Physician Assistant (PA-C) in Peoria, Arizona, licensed in AZ, with an NPI issued in January 2007. Part D covered 140 prescriptions written in 2024, 80% of them generic.
Overview
| NPI | 1841342631 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | May 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | AZ3142 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 140 · 288 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $12,788 |
| Generic share | 80% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Peoria
- 1053036962
- 1053567032
- 1093002461
- 1104661735
- 1124502372
- 1205562394
- 1245825769
- 1306308465
- 1306561816
- 1316241649
- 1376798421
- 1396196465
All 114 physician assistants in Peoria · All physician assistants in Arizona